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How Can I Reverse Bad Dermabrasion Results?

Thanks for your question. I'm sorry to hear about your problem. There are two difficult situations. First - acne scarring is an incredibly challenging problem. There is no technology that will fully correct deeper acne scarring. In addition, most of the treatments are based on "ablative" techniques (dermabrasion, laser). These treatments can cause significant problems in patients with darker skin. These problems can include hypo or hyper pigmentation. The best course of action is patients to allow the results a full year to heal. Then find a board-certified plastic surgeon or dermatologist for specific advice on your situation.

Clinical Context

Skin needs time to remodel after ablative treatments like dermabrasion, which is why waiting about a year before judging results is standard practice. Pigment changes—both lightening and darkening—are more common in darker skin tones because these treatments affect the skin's melanin-producing cells. If texture or pigment problems remain after healing, a board-certified plastic surgeon or dermatologist can assess whether further treatment may help, though full correction isn't always possible.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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